Myocarditis and coronary aneurysms in a child with acute respiratory syndrome coronavirus 2.
ESC Heart Fail
; 8(1): 761-765, 2021 02.
Article
in English
| MEDLINE | ID: covidwho-1064346
ABSTRACT
A 6-year-old African boy with multi-viral infection including parvovirus B19 and severe acute respiratory syndrome coronavirus 2 was admitted for persistent fever associated with respiratory distress and myocarditis complicated by cardiogenic shock needing ventilatory and inotropic support. Coronary aneurysms were also documented in the acute phase. Blood tests were suggestive of macrophage activation syndrome. He was treated with intravenous immunoglobulins, aspirin, diuretics, dexamethasone, hydroxychloroquine, and prophylactic low molecular weight heparin. Normalization of cardiac performance and coronary diameters was noticed within the first days. Cardiac magnetic resonance imaging, performed 20 days after the hospitalization, evidenced mild myocardial interstitial oedema with no focal necrosis, suggesting a mechanism of cardiac stunning related to cytokines storm rather than direct viral injury of cardiomyocytes.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Coronary Aneurysm
/
COVID-19
/
Myocarditis
Type of study:
Case report
/
Diagnostic study
/
Observational study
/
Randomized controlled trials
Topics:
Long Covid
Limits:
Child
/
Humans
/
Male
Language:
English
Journal:
ESC Heart Fail
Year:
2021
Document Type:
Article
Affiliation country:
Ehf2.13048
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